<div class="upperLayer" id="regForm">
    <div id="btnClose"><a href="javascript: void()" onclick="closeLayer()">Close</a></div>
    <br />
    <p>Add a Providers</p>
    <form method="post" action="" onsubmit="return addUser('<?php echo  $this->baseUrl();?>/admin/providers/add')">
	    <table id="regTb">
	    	<tr>
	    		<td class="leftCol"><label for="txtUsername">Provider name: </label></td>
	    		<td class="rightCol"><input id="txtUsername" name="txtUsername" type="text" /></td>
	    	</tr>
	    	<tr>
	    		<td class="leftCol"></td>
	    		<td class="rightCol"><input id="btnSubmit" name="submit" type="submit" value ="Submit" /></td>
	    	</tr>
	    </table>
    </form>
</div>